Surgical Site Infection after Breast Surgery: A Retrospective Analysis of 5-Year Postoperative Data from a Single Center in Poland
Abstrakt
Background and Objectives: Surgical site infection (SSI) is a significant complication of non-reconstructive and reconstructive breast surgery. This study aimed to assess SSI after breast surgery over five years in a single center in Poland. The microorganisms responsible for SSI and their antibiotic susceptibilities were determined. Materials and Methods: Data from 2129 patients acquired over five years postoperatively by the Department of Surgical Oncology, Medical University of Gdansk in Poland were analyzed. Results: SSI was diagnosed in 132 patients (6.2%) and was an early infection in most cases (65.2%). The incidence of SSI was highest in patients who underwent subcutaneous amputation with simultaneous reconstruction using an artificial prosthesis (14.6%), and breast reconstruction via the transverse rectus abdominis muscle (TRAM) flap method (14.3%). Gram-positive bacteria were responsible for SSI in most cases (72.1%), and these were mainly Staphylococcus strains (53.6%). These strains were 100% susceptible to all beta-lactam antibiotics (except penicillin) but were less susceptible to macrolides and lincosamides. Conclusions: SSI is a serious problem, and attention should be focused on its prevention. Reconstruction using an artificial prosthesis or via the TRAM flap method is connected to increased SSI incidence. Further studies are required to prevent SSI following breast surgery.
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- Publikacja w czasopiśmie
- Typ:
- artykuł w czasopiśmie wyróżnionym w JCR
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Medicina-Lithuania
nr 55,
strony 1 - 7,
ISSN: 1010-660X - Język:
- angielski
- Rok wydania:
- 2019
- Opis bibliograficzny:
- Palubicka A., Jaworski R., Wekwejt M., Świeczko-Żurek B., Pikula M., Jaskiewicz J., Zielinski J.: Surgical Site Infection after Breast Surgery: A Retrospective Analysis of 5-Year Postoperative Data from a Single Center in Poland// Medicina-Lithuania. -Vol. 55, iss. 9 (2019), s.1-7
- DOI:
- Cyfrowy identyfikator dokumentu elektronicznego (otwiera się w nowej karcie) 10.3390/medicina55090512
- Bibliografia: test
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- Bratzler, D.W.; Houck, P.M. Antimicrobial prophylaxis for surgery: An advisory statement from the national surgical infection prevention project. Clin. Infect. Dis. 2004, 38, 1706-1715. [CrossRef] [PubMed] otwiera się w nowej karcie
- Mangram, A.J.; Horan, T.C.; Pearson, M.L.; Silver, L.C.; Jarvis, W.R. Guideline for prevention of surgical site infection. Infect. Control Hosp. Epidemiol. 1999, 20, 247-280. [CrossRef] [PubMed] otwiera się w nowej karcie
- Rahman, M.H.; Anson, J. Peri-operative antibacterial prophylaxis. Pharm. J. 2004, 272, 743-745.
- Pałubicka, A.; Wekwejt, M.;Świeczko-Żurek, B.; Zieliński, J. Powikłania po rekonstrukcji piersi: Problem zakażeń i strategii prewencyjnej-Przegląd literaturowy. Chir. Plast. I Oparzenia 2017, 5, 89-97. [CrossRef] otwiera się w nowej karcie
- Ferlay, J.; Shin, H.; Bray, F.; Forman, D.; Mathers, C.; Parkin, D.M. Cancer Incidence and Mortality Worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int. J. Cancer 2015, 136, 359-386. [CrossRef] [PubMed] otwiera się w nowej karcie
- Gil-Londoño, J.C.; Nagles-Pelaez, J.A.; Maya-Salazar, W.A.; Madrid, J.; Maya-Restrepo, M.A.; Agudelo-Perez, R.A.; Ochoa, J. Surgical site infection after breast cancer surgery at 30 days. Infectio 2017, 21, 96-101. [CrossRef] otwiera się w nowej karcie
- Zhao, X.; Wu, X.; Dong, J.; Liu, Y.; Zheng, L.; Zhang, L. A Meta-analysis of Postoperative Complications of Tissue Expander/Implant Breast Reconstruction Using Acellular Dermal Matrix. Aesthetic Plast. Surg. 2015, 39, 892-901. [CrossRef] [PubMed] otwiera się w nowej karcie
- Olsen, M.A.; Lefta, M.; Dietz, J.R.; Brandt, K.E.; Aft, R.; Matthews, R.; Mayfield, J.; Fraser, V.J. Risk Factors for Surgical Site Infection after Major Breast Operation. J. Am. Coll. Surg. 2008, 207, 326-335. [CrossRef] [PubMed] otwiera się w nowej karcie
- Throckmorton, A.D.; Baddour, L.M.; Hoskin, T.L.; Boughey, J.C.; Degnim, A.C. Microbiology of surgical site infections complicating breast surgery. Surg. Infect. (Larchmt) 2010, 11, 355-359. [CrossRef] [PubMed] otwiera się w nowej karcie
- Franchelli, S.; Pesce, M.; Baldelli, I.; Marchese, A.; Santi, P.; De Maria, A. Analysis of clinical management of infected breast implants and of factors associated to successful breast pocket salvage in infections occurring after breast reconstruction. Int. J. Infect. Dis. 2018, 71, 67-72. [CrossRef] [PubMed] otwiera się w nowej karcie
- De Blacam, C.; Ogunleye, A.A.; Momoh, A.O.; Colakoglu, S.; Tobias, A.M.; Sharma, R.; Houlihan, M.J.; Lee, B.T. High body mass index and smoking predict morbidity in breast cancer surgery: A multivariate analysis of 26,988 patients from the national surgical quality improvement program database. Ann. Surg. 2012, 255, 551-555. [CrossRef] [PubMed] otwiera się w nowej karcie
- Eck, D.L.; Koonce, S.L.; Goldberg, R.F.; Bagaria, S.; Gibson, T.; Bowers, S.P.; McLaughlin, S.A. Breast surgery outcomes as quality measures according to the NSQIP database. Ann. Surg. Oncol. 2012, 19, 3212-3217. [CrossRef] [PubMed] otwiera się w nowej karcie
- Davis, G.B.; Peric, M.; Chan, L.S.; Wong, A.K.; Sener, S.F. Identifying risk factors for surgical site infections in mastectomy patients using the National Surgical Quality Improvement Program database. Am. J. Surg. 2013, 205, 194-199. [CrossRef] [PubMed] otwiera się w nowej karcie
- Crawford, C.B.; Clay, J.A.; Seydel, A.S.; Wernberg, J.A. Surgical Site Infections in Breast Surgery: The Use of Preoperative Antibiotics for Elective, Nonreconstructive Procedures. Int. J. Breast Cancer 2016, 2016, 1645192. [CrossRef] [PubMed] otwiera się w nowej karcie
- Vilar-Compte, D.; Jacquemin, B.; Robles-Vidal, C.; Volkow, P. Surgical site infections in breast surgery: Case-control study. World J. Surg. 2004, 28, 242-246.
- Ilonzo, N.; Tsang, A.; Tsantes, S.; Estabrook, A.; Thu Ma, A.M. Breast reconstruction after mastectomy: A ten-year analysis of trends and immediate postoperative outcomes. Breast 2017, 32, 7-12. [CrossRef] [PubMed] otwiera się w nowej karcie
- Hanwright, P.; Davila, A.; Hirsch, E.M.; Khan, S.A.; Fine, N.A.; Bilimoria, K.Y.; Kim, J.Y. The differential effect of BMI on prosthetic versus autogenous breast reconstruction: A multivariate analysis of 12,986 patients. Breast 2013, 22, 938-945. [CrossRef] [PubMed] otwiera się w nowej karcie
- Piper, M.L.; Roussel, L.O.; Koltz, P.F.; Wang, F.; Singh, K.; Chin, R.; Sbitany, H.; Langstein, H.N. Characterizing infections in prosthetic breast reconstruction: A validity assessment of national health databases. J. Plast. Reconstr. Aesthetic Surg. 2017, 70, 1345-1353. [CrossRef] [PubMed] otwiera się w nowej karcie
- Darragh, L.; Robb, A.; Hardie, C.M.; McDonald, S.; Valand, P.; O'Doboghue, J.M. Reducing implant loss rates in immediate breast reconstructions. Breast 2017, 31, 208-213. [CrossRef] [PubMed] otwiera się w nowej karcie
- Weryfikacja:
- Politechnika Gdańska
wyświetlono 151 razy
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